DESEREAH NICHOLE DENISTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012786

License Status

NOT RENEWED

Business

First Name

DESEREAH

Middle

NICHOLE

Last Name

DENISTON

Business Name

DESEREAH NICHOLE DENISTON

Original Issue Date

05/18/2009

Effective Date

09/29/2009

Expiration Date

09/30/2012

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012